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PERISTALSIS? AND ILEOSTOMY STOMA

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Posted 9/8/2012 4:56 AM (GMT 0)
OK, going out west for HOPEFULLY the right stoma fix up.

Gotta know something before I go........when my first stoma was new and working I could feel peristalsis happening. It was like a wave of just that peristalsis, then the ileostomy stoma would output waste. Then the next wave would come along and so on. It was like toothpaste being squeezed out of a toothpaste tube into my bag. When all had passed I would empty the bag and go on with the day.

IS THIS NORMAL? I could feel the peristalsis and it worked all was good. THEN of course this March it stenosed and things went downhill from there.

This new stoma I am trying to get a good revision for as you know from my past descriptions is anchored very weird to the skin and half of it is collapsed and the "active" part is only 1/2 inch in diameter. This part is not able to peristalse as in go in and out and push out waste. the most movement it can do is move a bit from side to side in a very short range. I have never actually seen it go in and out.

I know you all don't sit about watching your stomas, but for my appt and my presentation to the doc, I need to know, which of these is normal??? I think scenario number one is normal. The stoma goes in and out and pushes out waste. Am I right?

it is more of an in and out motion rather than a little side to side motion where very little gets outputtted at a time.

WIth my old stoma, I could eat a whole ripe banana, and in awhile I could actually watch the stoma squeeze the waste right out into the bag and I could feel it working. Was this the norm? Thanks, Rosemary
Posted 9/8/2012 11:51 AM (GMT 0)
According to my husband when we have talked about it, he basically doesn't feel much of anything. Sometimes it can be a bit noisy which seems to be more in the early morning when he is eating and having coffee moreso than the rest of the day.
Posted 9/8/2012 12:06 PM (GMT 0)
Thanks for reply.

Anyone else?

Also at night it feels like my peristalsis basically comes toa a standstill. With this new stoma I have to lie on my right side to get anything out. Yesterday I had a muffin to just see how it would go. Just got up and had some water and I have this thick poo still in me. Not sure if the muffin did not move out last night or what. Today I have to stay on all liquids. Yikes hope I make it to the med flight tomorrow. Rosemary
Posted 9/8/2012 12:52 PM (GMT 0)
     Hi Rosemary!  First of all, I will pray that they will be able to help you out west and you will fully recover.

     In answer to your question.  Yes, I do sometimes feel the rumblings.  I believe it depends on what you eat.  Last night I ate an apple.  This tends to thicken up the output a bit.  I make sure to chew very thoroughly, so it takes me the better part of an hour to eat an apple..lol.  This morning, I wanted to change my bag (one piece Coloplast Sensura).   As soon as I got out of bed, I felt the churning...and you guessed it...this long poo came out which looked exactly like toothpast coming out of a tube.  Mind you, it is NOT painful and as long as it comes out and not clogged, it isn't something to worry about. 

     For breakfast this morning, I ate two waffles, turkey bacon and had coffee and cranberry juice to drink.  This will water things down.

Posted 9/8/2012 6:31 PM (GMT 0)
Wow ok thanks chris. My stoma is totally dead as it will hardly put out liquid which is all I am sticking to. It is also very cold to the touch. They are supposed to be warm. God I am praying for a miracle!
Posted 9/10/2012 4:36 AM (GMT 0)
Aloha,
Something I did not quite understand before my uro-ostomy, but the info was always there, just did not put it all together. When you drink liquids, the gut removes the liquid and puts it into the blood. In a normal situation, the gut only retains sufficient liquid to keep the solids moving. So now, this liquid, in the blood, is detoxified by the liver, then as the blood is pumped around your body, it goes through the kidneys, which filter out the excess liquid and water based stuff that the body does not need/want. So this liquid material goes into the bladder, internal/external.
So, if you are only drinking liquids, there should be a very small amount of solids that the body discharges as waste.
When I was in the hospital after the op, I was not allowed anything by mouth until I passed gas, to prove that the gut was functioning. The kidneys were still pumping out urine, from that bag up there that was putting breakfast, lunch & din-din into my blood stream. This was the liquids that the kidneys were removing from my blood.
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